How was your experience with Jennifer Gell at Geisinger Medical Center Fertility Center?
Dr Gell is a warm, caring doctor with an excellent bedside manner. She is honest and straight to the point without being insensitive. My only complaint is that I wish she focused more on testing and diagnosing the problem rather than just treatment. She also doesn't run standard CD3 blood tests (LH, FSH, AMH, E2) as part of her initial testing like most REs do. I actually had to go to my OB/GYN to get the tests done because she said she thought they were unnecessary (I disagree). I just don't understand diagnosing someone with unexplained infertility without performing simple blood tests which could provide some insight into the problem. After 3+ years of trying without a positive pregnancy test or an answer as to why, I don't feel like I should have to push for additional testing or information that's readily available. I don't feel comfortable moving on to expensive, invasive, treatments if there's more testing that can be done first. She's a great doctor but like with any doctor, I think it's important to do your own research and advocate for yourself. There is no exception here.
What's one piece of advice would you give a prospective patient of Jennifer Gell at Geisinger Medical Center Fertility Center?
Do your own research and push for CD3 blood tests. There is no harm in educating yourself!
During treatment, were you treated like a number or a human with Jennifer Gell at Geisinger Medical Center Fertility Center?
Dr Gell is always warm and friendly towards me but I didn't feel like her treatment plans and/or diagnosis process were tailored to the individual.
Describe the protocols Jennifer Gell used in your cycles at Geisinger Medical Center Fertility Center and their degree of success.
My first treatment plan was timed intercourse with Clomid. I did two cycles of this before moving on to IUI. She does not do ultrasounds during TI cycles but she does check your progesterone to see if you've ovulated.
My second treatment plan was IUI, Clomid, and Novarel hCG trigger. I did 3 cycles of this without success. I had two ultrasounds during each cycle to monitor my follicles. She had me administer the trigger shot once my follicles reached around 18mm. IUIs followed 36 hours after the hCG trigger shot. She did not check my progesterone during IUI cycles.
After 5 failed medicated cycles, she recommended I move on to IVF. She did not bring up injectable hormones or suggest that as an option. She said I responded well to Clomid and if that (IUI) didn't work then it was unlikely that it was going to. She said IVF will give us our best chances. She also said I could opt to do a laparoscopy to check for Endometriosis and/or scarring before moving on to IVF. She said she didn't think it was necessary but it was ultimately up to me. I decided to do the laparoscopy and she found some mild endo and was able to remove it during the procedure. Afterwards, she recommended that we try naturally for 6-12 months and if I'm still not pregnant then we should to IVF.
Describe your experience with the nursing staff.
Very sweet, compassionate, and competent.
Describe your experience with Geisinger Medical Center Fertility Center.
Everyone is very nice and compassionate. I don't recall ever having a bad experience with anyone at Dr Gell's practice.
Describe the costs associated with your care under Jennifer Gell at Geisinger Medical Center Fertility Center.
Consultations are ~$400-600 if your insurance doesn't cover it. I believe it's on a sliding scale.
IUIs cycles are ~$1200, out of pocket.
The IUI itself is ~$375 which is what I paid since my insurance covered the ultrasounds and medications but not treatments.
IVF is around $11,000, out of pocket. Medications are around $3,000 -$5,000.
Describe Jennifer Gell's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Geisinger Medical Center Fertility Center.